Provider Demographics
NPI:1831338714
Name:HOGG, NONA CHRISTINA (LPN)
Entity type:Individual
Prefix:
First Name:NONA
Middle Name:CHRISTINA
Last Name:HOGG
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11575 225TH ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1236
Mailing Address - Country:US
Mailing Address - Phone:646-377-0992
Mailing Address - Fax:
Practice Address - Street 1:13435 166TH PL
Practice Address - Street 2:APT#8G
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-3851
Practice Address - Country:US
Practice Address - Phone:646-377-0992
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-17
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209888-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse